Cheyenne Facial Imaging Center

NPI #1427421676 in Cheyenne, Wyoming

Provider Information

NPI Number
1427421676
Entity Type
Organization
Organization Name
Cheyenne Facial Imaging Center
Primary Specialty
Dentist - Orthodontics and Dentofacial Orthopedics
Enumeration Date
Nov 10, 2015
Last Updated
Nov 10, 2015

Practice Location

Address
1401 AIRPORT PKWY STE 210
State
Wyoming
ZIP Code
82001-1541
Phone
(307) 316-4101

Authorized Official

Name
JASON L. BIRD, DDS
Title
ORTHODONTIST
Phone
(307) 316-4101

Specialties & Taxonomy Codes

Specialty
Dentist - Orthodontics and Dentofacial OrthopedicsOrthodontics and Dentofacial Orthopedics

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